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NPI Code Detail

MEDICARE: MIRIAM BEATRIZ MACHADO AMADOR

MEDICARE:   MIRIAM BEATRIZ MACHADO AMADOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorFL
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336660794
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM BEATRIZ MACHADO AMADOR
Provider Business Mailing Address
First Line : 11301 SW 200TH ST APT A109
Second Line :
City : MIAMI
State : FL
Zip : 33157-8297
Country : US
Telephone Number : 786-908-7720
Fax Number :
Provider Business Practice Location Address
First Line : 3498 NW 7TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-4014
Country : US
Telephone Number : 786-805-0212
Fax Number : 786-332-3279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2017
Last Update Date : 02/08/2022

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Directions to “ MIRIAM BEATRIZ MACHADO AMADOR ” Practice Location

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